Ticket for Outdoor Patient
| Ward No. 26 | U-PHC No. | Registration No. 08995 | Date 10/05/2023 |
| Token No | SM/24-25/16871 13/06/2024 | Serial | 020 |
| Patient Name | Mrs. SHANTI SINGH | Contact No | 9123813706 |
| Address | 55 RAILAND ROAD | Age | 51 YRS Female |
| Token For | Visit Doctor, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||